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Upper Extremity Free Flap Transfers: An Analysis of the National Surgical Quality Improvement Program Database.

Publication ,  Journal Article
Beyer, GA; Dua, K; Shah, NV; Scollan, JP; Newman, JM; Mithani, SK; Koehler, SM
Published in: J Hand Microsurg
July 2022

Introduction  We evaluated the demographics, flap types, and 30-day complication, readmission, and reoperation rates for upper extremity free flap transfers within the National Surgical Quality Improvement Program (NSQIP) database. Materials and Methods  Upper extremity free flap transfer patients in the NSQIP from 2008 to 2016 were identified. Complications, reoperations, and readmissions were queried. Chi-squared tests evaluated differences in sex, race, and insurance. The types of procedures performed, complication frequencies, reoperation rates, and readmission rates were analyzed. Results  One-hundred-eleven patients were selected (mean: 36.8 years). Most common upper extremity free flaps were muscle/myocutaneous (45.9%) and other vascularized bone grafts with microanastomosis (27.9%). Thirty-day complications among all patients included superficial site infections (2.7%), intraoperative transfusions (7.2%), pneumonia (0.9%), and deep venous thrombosis (0.9%). Thirty-day reoperation and readmission rates were 4.5% and 3.6%, respectively. The mean time from discharge to readmission was 12.5 days. Conclusion  Upper extremity free flap transfers could be performed with a low rate of 30-day complications, reoperations, and readmissions.

Duke Scholars

Published In

J Hand Microsurg

DOI

ISSN

0974-3227

Publication Date

July 2022

Volume

14

Issue

3

Start / End Page

245 / 250

Location

Netherlands
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Beyer, G. A., Dua, K., Shah, N. V., Scollan, J. P., Newman, J. M., Mithani, S. K., & Koehler, S. M. (2022). Upper Extremity Free Flap Transfers: An Analysis of the National Surgical Quality Improvement Program Database. J Hand Microsurg, 14(3), 245–250. https://doi.org/10.1055/s-0040-1717828
Beyer, George A., Karan Dua, Neil V. Shah, Joseph P. Scollan, Jared M. Newman, Suhail K. Mithani, and Steven M. Koehler. “Upper Extremity Free Flap Transfers: An Analysis of the National Surgical Quality Improvement Program Database.J Hand Microsurg 14, no. 3 (July 2022): 245–50. https://doi.org/10.1055/s-0040-1717828.
Beyer GA, Dua K, Shah NV, Scollan JP, Newman JM, Mithani SK, et al. Upper Extremity Free Flap Transfers: An Analysis of the National Surgical Quality Improvement Program Database. J Hand Microsurg. 2022 Jul;14(3):245–50.
Beyer, George A., et al. “Upper Extremity Free Flap Transfers: An Analysis of the National Surgical Quality Improvement Program Database.J Hand Microsurg, vol. 14, no. 3, July 2022, pp. 245–50. Pubmed, doi:10.1055/s-0040-1717828.
Beyer GA, Dua K, Shah NV, Scollan JP, Newman JM, Mithani SK, Koehler SM. Upper Extremity Free Flap Transfers: An Analysis of the National Surgical Quality Improvement Program Database. J Hand Microsurg. 2022 Jul;14(3):245–250.
Journal cover image

Published In

J Hand Microsurg

DOI

ISSN

0974-3227

Publication Date

July 2022

Volume

14

Issue

3

Start / End Page

245 / 250

Location

Netherlands